Holt, Ivey Ellis

Holt, Ivey Ellis is an individual health care provider with primary practice located at 6262 Veterans Pkwy , Columbus GA 31909-3540. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Holt, Ivey Ellis can be contacted via phone (706) 324-6661.

Contact Information

Primary practice address
6262 Veterans Pkwy Columbus GA 31909-3540
Phone: (706) 324-6661
Fax: (706) 494-3201
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 006742 Georgia

Profile Details

NPI number 1831430032
LBN Legal business name Holt, Ivey Ellis
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2013
Last updated Nov 19th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831430032 NPPES
Georgia Other 006742 STATE LICENSE
Georgia MEDICAID 147458 STATE LICENSE
Georgia MEDICAID 003132870 STATE LICENSE

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